Volume therapy in orthostatic transient ischemic attacks

Alvaro Pascual-Leone, David C. Anderson, David A. Larson

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


We report the case of an 83-year-old man with recurrent orthostatic transient ischemic attacks despite anticoagulation and crystalloid therapy. An initial cerebral angiogram revealed a nearly occluded right carotid artery with a string sign. Following aggressive volume expansion with albumin, the patient became asymptomatic. A second angiogram demonstrated the resolution of the carotid string sign and unmasked a high-grade, very tight, surgically approachable stenosis. The role of a high intravascular volume status is discussed.

Original languageEnglish (US)
Pages (from-to)1267-1270
Number of pages4
Issue number9
StatePublished - Sep 1989


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